Hospital worker gets 4 1/2 years in prison for stealing patient records.

  1. 0
    Los Angeles 4:28 PM June 15, 2009 - A former Cedars-Sinai Medical Center employee was sentenced to four years, eight months in prison after pleading guilty today to stealing patient information to defraud insurance companies of $354,000.

    The hospital had sent letters in December to more than 1,000 patients, warning them that their personal information had been found during a search of the home of James Allen Wilson, who worked in the billing department between 2003 and 2007.
    http://latimesblogs.latimes.com/lano...t-records.html
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  4. 10 Comments so far...

  5. 2
    I know that employees in the hospital are in a good position to steal personal information. What I don't understand is how they can use that information to bill an insurance company and actually get paid.
    4hana9 and Luv2BAnurse like this.
  6. 2
    I don't know how that works, either. I guess we're not devious enough, Oramar. And I'm glad for that.
    Jarnaes and Luv2BAnurse like this.
  7. 0
    The article said that he was also charged with identity theft - maybe he also stole information that would have helped him do this in some way? Not sure how that would work either, but it's the only thing that came to mind. I agree - very devious.
    Last edit by mappy on Jun 16, '09 : Reason: reread article for clarity
  8. 0
    i'm guessing he filed personal claims with the insurance companies, with fake bills saying he paid so much, and they reimbursed him directly.
    (i've had to file claims for receiving treatment at times my provider was not open to confirm coverage, and they've always reimbursed me directly)
  9. 0
    omg, shocking!
  10. 0
    called FRAUDING THE GOVERNMENT____FEDERAL OFFENSE....so this is just one of the many federal fraud crimes (*in this case common; however medical field surely will get the publicity*) people are presecuted for, like tax fraud....any time someone frauds the Government, is like playing with fire.....rest is history.
  11. 0
    Quote from oramar
    I know that employees in the hospital are in a good position to steal personal information. What I don't understand is how they can use that information to bill an insurance company and actually get paid.
    This article explains how:

    Prosecutors told the hospital that Wilson set up a fake laboratory company. He allegedly used the names of actual workers' compensation beneficiaries to submit claims for services that were never performed at the fictitious lab, according to a hospital letter. The insurers sent payments by check to a post office box that Wilson set up, the letter said.
  12. 0
    THIS IS HORRIBLE!!!!
  13. 0
    i know. i think that every employee in the US should be throughly criminally checked before they are hired, especially when people are being hired to handle medical information, i have talked to a few medical clerks in hospitals, and they are not subjected to a criminal background check before they are hired.

    these poor people who were violated of their privacy.


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